360 Basketball League Registration / League Information

Final Registration Deadline: 3/27/2017

2017 Spring
Program Director: Brad Adams (thatguybrad07@gmail.com)

Start Date: 4/3/2017
Duration: 9 Weeks Of League Play
Game Days: Mondays
Times: 4pm – 8pm

Who Plays: Boys & Girls (Ages 4 – 14)
Where: Mulberry Middle (500 SE Dr M.L.K. Jr Ave, Mulberry, FL 33860 )

Program Fee:
If you live inside the city of Mulberry city limits: $20.00
If you live inside the city of Mulberry city limits: $40.00

Final Registration Deadline: 3/27/2017

After you complete registration form below you will be taken to a payment page where you will then be able to pay your program fee.

Parent / Guardian:*

First

Last

Phone:*

Area Code

Phone Number

E-mail:

Participant Name:*

First

Last

Sex & Date Of Birth (Male) (12-2-2008) :*

Address:*

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Clothing Size (ex: Top 7 Pants 7) :

Medical Issues / Allergies:

After you complete registration and submit form you will be taken to a payment page where you will then be able to pay your program fee.